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CMSA Core Curriculum for Case Management 3rd Edition, (Ebook PDF) full chapter instant download
CMSA Core Curriculum for Case Management 3rd Edition, (Ebook PDF) full chapter instant download
CMSA Core Curriculum for Case Management 3rd Edition, (Ebook PDF) full chapter instant download
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to accuracy, comprehensiveness, or currency of the content of this work.
This work is no substitute for individual patient assessment based upon healthcare professionals’ examination of each patient
and consideration of, among other things, age, weight, gender, current or prior medical conditions, medication history, laboratory
data and other factors unique to the patient. The publisher does not provide medical advice or guidance and this work is merely
a reference tool. Healthcare professionals, and not the publisher, are solely responsible for the use of this work including all
medical judgments and for any resulting diagnosis and treatments.
Given continuous, rapid advances in medical science and health information, independent professional verification of medical
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We, the editors, wish to dedicate this book to our colleagues, families, and
friends who supported us during the journey of updating the Core Curriculum.
There are some individuals who deserve special recognition for going above
and beyond the call of duty— to you we are forever grateful!
To my parents for always wanting the best for me, especially for your
unconditional love and unwavering support and encouragement; to Eduardo
A.M. for being a shining light in my life; to Toni and Jane for your love,
friendship, and counsel; and to Bene C.S. and Stavros S. for always being there
for me… Hussein
To my wonderful husband Dave for your keen eye and unfailing support; to my
brothers and sisters who are each a blessing in my life; to R.G. for having
confidence in me; to S.K.P. for being a tremendous role model and friend; and
to my parents LCDR Norman C. and Eva V. Frates, thank you for
unconditional love and support… Teri
We also wish to dedicate this book to professional case managers past, present,
and future… Thank you for supporting your patients (clients) and each other,
every day, every time ….
Stefany H. Almaden, MSN, PhD, RN, CCM, CPUM, CMCN, PHAM, LCP
EVP Consulting, Health Services
The Almaden Group, Inc.
Care Management Consultants
Pasadena, California
1 TCS Healthcare™ Technologies. (2012). Case Management Solutions, 3rd Bi-Annual Health IT Strategy, Trend Report #5:
Patient Engagement Strategies. Available at http://www.tcshealthcare.com/Trend-Report-5, Retrieved on November 12, 2015.
Preface
Sixteen years ago, we published the first edition of the Core Curriculum. So much has
happened in the practice of case management ever since. Transformation and innovation have
been ongoing resulting in a shift in the practice—from being an innovative and unique
approach for the betterment of health services and care provision to becoming a necessity
today in every setting across the continuum of health and human services. Most importantly,
however, case management (or care management, care coordination, transitions of care) has
been embedded now in US health care laws and regulations, especially with the advent of the
Patient Protection and Affordable Care Act of 2010. This Act has contributed to the
legitimization of case management as an essential element of health care delivery—No more
raising questions concerning the value of case management.
The US health care system continues to grow in complexity, requiring impactful patient
advocacy that ensures the provision of timely, safe, quality, holistic, personalized, and cost-
conscious health care and services. The case manager is the professional best positioned to
work with the patient and patient's family or family caregiver in making the “course” of their
care manageable, understandable, familiar, and comfortable. The case manager also ensures
that access to health care services must happen at the right time, in the most appropriate care
setting, through the right provider, to the necessary extent (type and quantity), while the
“experience” during the care encounter remains optimal and desirable.
There is enough evidence today that supports the significance of case management (care
coordination, care management, transitions of care) and its contribution to efficient, effective,
and equitable care provision. Despite its popularity, the practice of case management continues
to be primarily learned on-the-job. Academic institutions have not caught on to this evolution,
which makes textbooks, such as this Core Curriculum, a go to resource that supports the case
manager struggling in determining whether her/his practice is current, exemplary, or effective.
The case management workforce is not based in a specific health discipline or specialty.
On the contrary, the practice of case management is diverse. It is inter-professional in nature,
with nurses, social workers, vocational rehabilitation counselors, physical and occupational
therapists, and other licensed professionals all assuming the role of case manager and often
collaborate as a group driven by what makes most sense to the individual patient situation and
care setting. This unique diversity makes the practice of case management dynamic, popular,
attractive, and influential. Additionally, the Core Curriculum is the one resource that is written
for all case managers and their colleagues regardless of their professional backgrounds. Its
content also covers the key nuances of the practice in the various care settings.
This Core Curriculum, sponsored by the Case Management Society of America (CMSA),
represents a synthesis of the case management evolution and a forecast about its future. The
chapters, which have been written by renowned experts in the field, address important topics
of case management practice, such as historical perspective; programs and models; practice
settings across the continuum of care; roles, responsibilities, qualifications, and competencies
of case managers; training, certification, and credentialing; specialty practices; evaluating the
effectiveness of case management programs; and legal and ethical obligations. This third
edition of the Core Curriculum expands on the original content and includes new materials,
particularly in the areas of practice and ethical standards as they relate to both the general
practice and the use of social and digital media; accreditation in case management;
professional obligations toward advancing the practice and dissemination of innovations and
new knowledge; impact of the Patient Protection and Affordable Care Act on case management
practice; value-based purchasing; and primary care and patient-centered medical homes. This
additional information is necessary to keep case managers informed about the current state of
case management practice and to arm them with the skills, knowledge, and competencies
needed for effective delivery of case management services and to meet the increasingly
complex demands of our health care system.
It is important to note that what is interesting about this new edition of the Core Curriculum
is the integration of CMSA’s Standards of Practice for Case Management with an overview in
a new introductory chapter and at the beginning of each of the remaining chapters thereafter.
We believe this feature adds special value to the Core Curriculum and makes it easier for case
managers to apply the standards in their daily practice.
The Core Curriculum is written in an outline format in order to emphasize important
information with which a case manager must be familiar in order to ground his/her
professional practice. Graphs, tables, boxes, figures, and examples are provided to further
highlight useful information for use to enhance one’s performance competence and reduce the
burden of locating such materials for the ever busy case manager. The broad scope of case
management issues presented serves as a teaching tool and reference guide for:
Clarification of key terms and their relatedness to case management practice (e.g., care
management, case management, care coordination)
Development of degree-granting case management educational programs
Orientation and training of case managers within an organization or a facility and practice
setting
Preparation (review materials) for case management certification examinations
Self-study when beginning a “new” case management career or if curious about pursuing
one
Case management program/model design or re-design
Development of job descriptions, performance appraisals, and essential competencies for
case managers
Evaluation of effectiveness (or return on investment) of case management programs and
models
Value proposition and demonstration
Adherence to expected practice, ethical, and legal standards
We, the editors, would like to thank the contributors and reviewers who dedicated so much of
their time and expertise to this important work. Your passion for case management practice and
devotion for ongoing development of the health care professionals involved is evident in your
work. We thank you!
We also would like to thank the Board of Directors of the Case Management Society of
America, Executive Director Cheri Lattimer, and President Kathleen Fraser for all of their
support, feedback, and encouragement throughout the writing process and for putting their faith
in us and our abilities. You are truly a group of special individuals who shared their
knowledge for the growth of the case management profession and for the good of health care.
Last, but certainly not least, we would like to thank Executive Editor Shannon Magee and
the Wolters Kluwer team for all of their support and guidance during this project. Thank you!
Hussein M. Tahan
Teresa M. Treiger
Contents
Contributors
Reviewers
Foreword
Preface
Acknowledgments
Clicking on the footnote numbers below will take you to the index
entries that reference these footnotes.]
194. Though not included in this list, all sweet puddings are served as entremets,
except they replace the roasts of the second course.
195. Fish is not usually served as an entrée in a common English dinner; it is,
however, very admissible, either in fillets, or scallops, in a currie, or in a vol-
au-vent. Various circumstances must determine much of the general
arrangement of a dinner, the same dishes answering at times for different
parts of the service. For example, a fowl may be served as the roast for a
small company, and for a large one as an entrée. For a plain family dinner,
too, many dishes may be served in a different order to that which is set
down.
BIOGRAPHICAL WORKS.